Individual
SAMUEL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
134 PROFESSIONAL PARK DR, ROCK HILL, SC 29732-1178
(803) 329-3130
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2014-01317
NC
207X00000X
Orthopaedic Surgery Physician
36553
SC
Other
Enumeration date
05/02/2008
Last updated
02/17/2020
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